Archive for March 2010

Utopian College of Emergency for Medicine announces founding of “The Poison Preview”

March 31, 2010, 9:14 pm

Having just returned from the American Institute of Ultrasound in Medicine meeting in San Diego, I have not yet had a chance to note that several days ago the eminent Egerton Y. Davis IV announced in the Welsh town of Llanfairpwllgwyngyllgogerychwyrndrobwllllantysiliogogogoch that UCEM is set to begin publication of “The Poison Preview”. This journal will be dedicated…

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Rating revision: Did I say 3-1/2 skulls? Make that 2.

March 31, 2010, 6:03 pm

★★☆☆☆

Hydroxocobalamin and Sodium Thiosulfate Versus Sodium Nitrite and Sodium Thiosulfate in the Treatment of Acute Cyanide Toxicity in a Swine (Sus Scrofa) Model.  Bebarta VS et al.  Ann Emerg Med April 2010;55:345-351.

When this article was posted online back in December, I reviewed it and gave it three-and-a-half skulls.  Now that it is available in print, I’ve…

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Tox Tunes #13 – Amphetamine Annie (Canned Heat)

March 29, 2010, 11:37 am

The blues-rock band Canned Heat took their name from Tommy Johnson’s 1928 classic “Canned Heat Blues”. “Amphetamine Annie” — with its repeated admonition “speed kills” — was probably the best-known anti-drug song of the 1960s.

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Dialyzing the Toxicology Patient

March 29, 2010, 11:17 am

★★★½☆

Dialysis in the poisoned patient.  Bayliss G.  Hemodialysis Int  2010 March 19 [Epub ahead of print]

Abstract

This is a helpful revieew of enhanced elimination techniques available for the management of toxicology patients.  Some key points emphasized in the article:

• Intermittent hemodialysis is ideal for low-molecular-weight, water-soluble toxins with small volumes of distribution and minimal binding to proteins…

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Metformin and Creatine and Metabolic Acidosis: Really?

March 26, 2010, 2:12 pm

★☆☆☆☆

Severe metabolic acidosis secondary to coadministration creatine and metformin, a case report.  Saidi H, Mani M.  Am J Emerg Med  (2010) 28:388.e5-e6

Abstract

This case report from Tehran describes a 42-year-old body builder who developed anion-gap metabolic acidosis (pH 7.25, anion gap 22 mEq/L) after taking a combination of metformin and creatine for 3 weeks. He presented with anuria…

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